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Background: Cardiac Rehabilitation (CR) reduces morbidity and mortality associated with cardiovascular disease. Yet, CR is under-prescribed, with low and variable referral rates. Less than 50% of patients who enroll in CR complete the program. The purpose of this study was to evaluate the impact of a clinic-based intervention to improve CR referral rates, and investigate local rates of CR matriculation.
Methods: The setting for this intervention was a University-based fellows’ cardiology safety-net clinic. From January 1 to June 30, 2016, a CR staff member liaison was physically present during clinic to a) pre-screen via electronic medical record for eligibility, b) speak to and schedule patients, and c) serve as a visible reminder to physicians to consider CR referral.
Results: Number of referrals increased from zero in the 6 months pre-intervention to 56 during the intervention. Of the 56 referred pts, 18 (32.1%) declined CR and 38 (67.9%) were enrolled. In terms of patient matriculation, 15 (26.7% of all referred) did not arrive for initial assessment, 3 (5.4%) attended an initial assessment but no classes, 10 (17.8%) attended <20 classes, and 10 (17.8%) completed ≥20 classes (Figure 1).
Conclusions: A clinic-based intervention consisting of on-site CR liaison with pre-screening for eligibility significantly improved CR referral rates. Enrollment and completion rates continued to be low; ongoing efforts seek to identify and eliminate barriers to successful CR enrollment and completion.
Poster Hall, Hall C
Friday, March 17, 2017, 3:45 p.m.-4:30 p.m.
Session Title: Measuring Success in Cardiac Rehabilitation
Abstract Category: 34. Prevention: Rehabilitation
Presentation Number: 1147-039
- 2017 American College of Cardiology Foundation